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Finance/RCM (110)

6:04

Payer negotiation tech stacks: A primer for providers

There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.

Payer negotiation tech stacks: A primer for providers
There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.
6:04
3:55

Clinical and financial teams need clear, accurate documentation

Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.

Clinical and financial teams need clear, accurate documentation
Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.
3:55
7:23

New payment and delivery models mean big shift for Medicare

TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.

New payment and delivery models mean big shift for Medicare
TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.
7:23
3:42

Patient strategies on the rev cycle front-end optimizes margins

AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.

Patient strategies on the rev cycle front-end optimizes margins
AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.
3:42
6:19

The use of prior authorization has expanded

Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.

The use of prior authorization has expanded
Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
6:19
6:34

Providers get paid for the care they document, not the care provided

Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.

Providers get paid for the care they document, not the care provided
Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.
6:34
6:20

Data management underlies value-based contracts

Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.

Data management underlies value-based contracts
Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.
6:20
5:39

Price transparency is vital for lowering healthcare costs

Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.

Price transparency is vital for lowering healthcare costs
Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.
5:39
3:57

CMS seeks help to CRUSH Medicare and Medicaid fraud

Kimberly Brandt, CMS COO, discusses the agency's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) fraud-fighting initiative and invites the public to submit ideas on how to improve its efforts.

CMS seeks help to CRUSH Medicare and Medicaid fraud
Kimberly Brandt, CMS COO, discusses the agency's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) fraud-fighting initiative and invites the public to submit ideas on how to improve its efforts.
3:57
5:29

Clearer pricing empowers patients to plan care

Point-of-Care Partners' Vanessa Candelora says price transparency for services and medications will make it possible for patients to budget for procedures and to shop for better prices with providers in their insurance network.

Clearer pricing empowers patients to plan care
Point-of-Care Partners' Vanessa Candelora says price transparency for services and medications will make it possible for patients to budget for procedures and to shop for better prices with providers in their insurance network.
5:29
5:04

Elimination of inpatient-only procedures comes at a cost for hospitals

The phase-out of the Medicare Inpatient-Only list drives value and efficiency, but hospitals lose out on volume and revenue, says Allison Oakes, chief research officer for Trilliant Health.

Elimination of inpatient-only procedures comes at a cost for hospitals
The phase-out of the Medicare Inpatient-Only list drives value and efficiency, but hospitals lose out on volume and revenue, says Allison Oakes, chief research officer for Trilliant Health.
5:04
5:46

WISeR model is an attempt by CMS to reduce spending in Medicare

CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.

WISeR model is an attempt by CMS to reduce spending in Medicare
CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.
5:46
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Play video Payer negotiation tech stacks: A primer for providers
Finance/RCM
Payer negotiation tech stacks: A primer for providers
Play video Clinical and financial teams need clear, accurate documentation
Finance/RCM
Clinical and financial teams need clear, accurate documentation
Play video New payment and delivery models mean big shift for Medicare
Finance/RCM
New payment and delivery models mean big shift for Medicare
Play video Patient strategies on the rev cycle front-end optimizes margins
Finance/RCM
Patient strategies on the rev cycle front-end optimizes margins

View more in Finance/RCM (110 videos)

6:19

The use of prior authorization has expanded

Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.

The use of prior authorization has expanded
Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
6:19
6:34

Providers get paid for the care they document, not the care provided

Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.

Providers get paid for the care they document, not the care provided
Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.
6:34
6:20

Data management underlies value-based contracts

Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.

Data management underlies value-based contracts
Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.
6:20
5:39

Price transparency is vital for lowering healthcare costs

Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.

Price transparency is vital for lowering healthcare costs
Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.
5:39
3:57

CMS seeks help to CRUSH Medicare and Medicaid fraud

Kimberly Brandt, CMS COO, discusses the agency's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) fraud-fighting initiative and invites the public to submit ideas on how to improve its efforts.

CMS seeks help to CRUSH Medicare and Medicaid fraud
Kimberly Brandt, CMS COO, discusses the agency's Comprehensive Regulations to Uncover Suspicious Healthcare (CRUSH) fraud-fighting initiative and invites the public to submit ideas on how to improve its efforts.
3:57
5:29

Clearer pricing empowers patients to plan care

Point-of-Care Partners' Vanessa Candelora says price transparency for services and medications will make it possible for patients to budget for procedures and to shop for better prices with providers in their insurance network.

Clearer pricing empowers patients to plan care
Point-of-Care Partners' Vanessa Candelora says price transparency for services and medications will make it possible for patients to budget for procedures and to shop for better prices with providers in their insurance network.
5:29
5:04

Elimination of inpatient-only procedures comes at a cost for hospitals

The phase-out of the Medicare Inpatient-Only list drives value and efficiency, but hospitals lose out on volume and revenue, says Allison Oakes, chief research officer for Trilliant Health.

Elimination of inpatient-only procedures comes at a cost for hospitals
The phase-out of the Medicare Inpatient-Only list drives value and efficiency, but hospitals lose out on volume and revenue, says Allison Oakes, chief research officer for Trilliant Health.
5:04
5:46

WISeR model is an attempt by CMS to reduce spending in Medicare

CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.

WISeR model is an attempt by CMS to reduce spending in Medicare
CMS says about 25% of the spend is fraudulent or being abused by providers, says Carol Howard, vice president of innovation and adoption at Janus Health.
5:46